<div class="container-fluid" xmlns:th="http://www.thymeleaf.org">

	<form class="form-horizontal" role="form">

		<fieldset>
			<legend>Basic Information</legend>


			<div class="row">

				<div class="col-md-12 col-sm-12 col-xs-12">
					<div class="form-group">
						<label for="name" class="col-md-2 col-sm-2 col-xs-2 control-label">Name</label>
						<div class="col-md-10 col-sm-10 col-xs-10">
							
							<!-- Salutation -->
								
							<select class="selectpicker">
    							<option>Mustard</option>
    							<option>Ketchup</option>
    							<option>Relish</option>
  							</select>	
  							
  							<!-- First name -->
  							<input type="text" class="form-control" id="firstName" name="firstName"
								placeholder="First Name " />
							
							<!-- Middle name -->
  							<input type="text" class="form-control" id="middleName" name="middleName"
								placeholder="Middle Name " />
								
								
							<!-- Last name -->
  							<input type="text" class="form-control" id="lastName" name="lastName"
								placeholder="Last Name " />	
								
						</div>
					</div>
				</div>
				

			</div>

			<div class="row">

				<div class="col-md-4 col-sm-4 col-xs-4">
					<div class="form-group">
						<label for="company" class="col-sm-2 control-label">Company</label>
						<div class="col-sm-10">
							<input type="text" class="form-control" id="company" name="company"
								placeholder="Company " />
						</div>
					</div>
				</div>
				
				<div class="col-md-4 col-sm-4 col-xs-4">
					<div class="form-group">
						<label for="industry" class="col-sm-2 control-label">Industry</label>
						<div class="col-sm-10">
							<select class="selectpicker" name="industry" id="industry">
    							<option>Mustard</option>
    							<option>Ketchup</option>
    							<option>Relish</option>
  							</select>	
						</div>
					</div>
				</div>
				
				<div class="col-md-4 col-sm-4 col-xs-4">
					<div class="form-group">
						<label for="annualRevenue" class="col-sm-2 control-label">Annual Revenue</label>
						<div class="col-sm-10">
							<input type="text" class="form-control" id="annualRevenue" name="annualRevenue"
								placeholder="Annual Revenue " />
						</div>
					</div>
				</div>

			</div>

		</fieldset>



		<fieldset>
			<legend>Address</legend>

			<div class="row">

				<div class="col-md-4 col-sm-4 col-xs-4">
					<div class="form-group">
						<label for="city" class="col-sm-2 control-label">City</label>
						<div class="col-sm-10">
							<input type="text" class="form-control" id="company" name="company"
								placeholder="Company " />
						</div>
					</div>
				</div>
				<div class="col-md-4 col-sm-4 col-xs-4">
					<div class="form-group">
						<label for="company" class="col-sm-2 control-label">Company</label>
						<div class="col-sm-10">
							<input type="text" class="form-control" id="company" name="company"
								placeholder="Company " />
						</div>
					</div>
				</div>
				
				<div class="col-md-4 col-sm-4 col-xs-4">
					<div class="form-group">
						<label for="company" class="col-sm-2 control-label">Company</label>
						<div class="col-sm-10">
							<input type="text" class="form-control" id="company" name="company"
								placeholder="Company " />
						</div>
					</div>
				</div>

			</div>
		</fieldset>

	</form>
</div>

